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Gynaecology

Gynaecology deals with the health of the female reproductive systems (vagina, uterus, and ovaries) and the breasts.

Gynaecological conditions include

  • Cancer and pre-cancerous diseases of the reproductive organs including ovaries, fallopian tubes, uterus, cervix, vagina, and vulva
  • Incontinence of urine
  • Amenorrhoea (absent menstrual periods)
  • Dysmenorrhoea (painful menstrual periods)
  • Infertility
  • Menorrhagia (heavy menstrual periods)
  • Prolapse of pelvic organs
  • Infections of the vagina (vaginitis), cervix, and uterus (including fungal, bacterial, viral, and protozoal)
  • UTIs and Pelvic Inflammatory Disease
  • Premenstrual Syndrome 

Dr Christopher Ng
"More than 20 years of obstetrics and gynaecology experience"
Most women have a 4-weekly menstrual cycle or thereabouts. When their period is delayed by one week , this is usually the time women start to test themselves to see if they could possibly be pregnant or not. For some women, this is also the earliest time (5 weeks from their last...
13 Nov 2019
Scalp hair loss is one of the manifestations of the effects of increased male hormones in PCOS. Management includes the contraceptive pill which suppresses the ovary (hence suppresses testosterone production by the ovary) as well as the medications that block the effect of testost...
8 Nov 2019
PCOS is associated with infertility because it is associated with a lack of ovulation. You ovulate 2 weeks before your period, but if your periods are irregular, then it becomes difficult to predict when ovulation will take place. You can confirm if you are ovulating with urine...
8 Nov 2019
Although there are many nutritional supplements purported to improve egg quality, many do not have sufficient scientific data to support its claims. More recent data has shown some support for use of DHEA ( a type of precursor steroid hormone ) for women with diminished o...
6 Nov 2019
Yes, that is possible. This is because every woman is born with a fixed reserve of eggs in each ovary from birth. This starts at about 2 million eggs at birth and will gradually decrease over time . The egg reserve will be at about 300,000-500,000 eggs by the time puberty starts, b...
6 Nov 2019
Dr Christopher Ng
"More than 20 years of obstetrics and gynaecology experience"
In general, the typical symptoms of a miscarriage are: pelvic pain vaginal bleeding discharge of tissue discharge of fluid The most common sign would indeed be vaginal bleeding. However, in early miscarriages, there may not be any signs at all (asymptomati...
4 Nov 2019
Dr Christopher Ng
"More than 20 years of obstetrics and gynaecology experience"
Most women experience some form of postpartum bleeding to various extents. In most cases, it usually starts off heavy for the first few days after delivery. Afterwards, the volume of vaginal bleeding tapers off over the next few weeks to be more like spotting or brownish staining. T...
3 Nov 2019
Dr Christopher Ng
"More than 20 years of obstetrics and gynaecology experience"
The most important cause of galactorrhoea (milk production not associated with pregnancy) is to exclude a problem with the pituitary gland. The pituitary gland produces a hormone called prolactin. A rise in prolactin levels usually occurs during pregnancy and leads to breast milk ...
23 Oct 2019
Dr Christopher Ng
"More than 20 years of obstetrics and gynaecology experience"
Smoking and consuming oral contraceptive pills increase the risk of developing deep vein thrombosis (DVT). This is especially so if you are obese, above the age of 35 years old and are a heavy smoker. If all these 3 categories apply to you then oral contraceptives or, for that mat...
15 Oct 2019
Dr Christopher Ng
"More than 20 years of obstetrics and gynaecology experience"
The main concern about air travel with pregnancy is the increased risk of developing deep vein thrombosis (DVT) during or after the flight. What is DVT? DVT is a blood clot that forms in a vein deep in the body, mostly occurring in the legs. A deep vein thrombosis can...
15 Oct 2019
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